medigraphic.com
ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2007, Number 2

<< Back Next >>

Cir Gen 2007; 29 (2)

Uterine adnexal torsion in a 10-year-old girl: report of one case

Dávila-Bueno DA, Rodríguez-Paz CA, González BJJ

Language: Spanish
References: 10
Page: 162-164
PDF size: 115.75 Kb.


ABSTRACT

Objective: To inform the case of uterus torsion associated to a hemorrhagic cystic teratoma in a 10-year-old girl.
Setting: Second health care level rural hospital in the state of San Luis Potosí, Mexico.
Design: Case report.
Case report: Girl, 10 years old, with sudden abdominal pain, evolution of 5 days, of moderate intensity, accompanied by nausea. A hypogastric tumor was palpated with positive appendicular points. Cardiac frequency of 112/min, 120/80 mmHg arterial pressure, body temperature 38°C and respiratory frequency of 24/min; hemoglobin of 10.8 g/dl, hematocrit of 33%, leucocytes count of 10,500, 4% banded. During surgery, a 9 x 8 x 4 cm cystic torted teratoma of the left ovary was found, constituted histologically by hemorrhagic necrotic bone tissue and cartilage without immature elements; a salpingo-oophorectomy was performed; the symptoms remitted, and the girl was discharged on the 4th day.
Conclusions: An ovarian torted cyst is rare in girls, it frequently corresponds to the left side, and its confirmation requires laparotomy.


REFERENCES

  1. Castleberry R, Cushing B, Hawkings E. Germ Cell Tumors. En: Pizzo P, Poplack D. Principles of Pediatric Oncology. 3rd Ed. Lippincott Raven. Philadelphia. 1997: 921-45.

  2. Terenziani M, Massimino M, Casanova M, Cefalo G, Ferrari A, Luksch R, et al. Childhood malignant ovarian germ cell tumors: a monoinstitutional experience. Gynecol Oncol 2001; 81: 436-40.

  3. Stanish PJ, Clark KS, Chua GT. Uterine adnexal torsion: a case report. Indian Med 1991; 84: 112-114.

  4. Pomeranz AJ, Sabnis S. Misdiagnoses of ovarian masses in children and adolescents. Pediatr Emerg Care 2004; 20: 172-174.

  5. Morrillo CM, Martín CF, Muńoz CV, González-Sicilia ME, Gonzalo-Sicilia CE, Carrasco RS. Ovarian mature teratoma. Clinic-pathological study of 112 cases and review of the literature. Ginecol Obstet Mex 2003; 71: 447-454.

  6. Quero-Hernández A, Hernández-Arriola J, López ZS, Pérez-Bautista A. Tumores del ovario en nińas y adolescentes en un hospital general. Rev Mex Pediatr 2005; 72: 174-8.

  7. Gómez-Alcalá AV, Ramírez-Hernández C. Espectro clínico de la torsión tubo-ovárica en nińas. Cir Ciruj 2000; 68: 19-22.

  8. Havlik DM, Nolte KB. Sudden death in an infant resulting from torsion of the uterine adnexa. Am J Forensic Med Pathol 2002; 23(3): 289-291.

  9. Bayer AI, Wiskind AK. Adnexal torsion: can the adnexa be saved? Am J Obstet Gynecol 1994; 171: 1506-1511.

  10. Lee YH, Kim SG, Choi SH, Kim IS, Kim SH. Ovarian mature cystic teratoma containing homunculus: a case report. J Korean Med Sci 2003; 18: 905-907.




2020     |     www.medigraphic.com